Look up the most recent NPI and PECOS records

Malini Kancharla Reddy

Internal Medicine

Allopathic & Osteopathic Physicians

1061 Dowdy Rd, Ste 100, Athens, GA 30606

PECOS Enrollment

This provider is enrolled in PECOS as MALINI REDDY.

Based on the most recent information from CMS, provider Malini Kancharla Reddy is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records today at 4:18 PM.

Profile Details

Provider ID
1568705135
Provider Type
Individual
Full Name
Reddy, Malini Kancharla
Title
Dr.
Credential
M.D.

Gender
Female
Sole Proprietor
No
Enumeration Date
4/2/2013
Last Updated
7/7/2018

Contact Information

Practice Location

1061 Dowdy Rd, Ste 100, Athens, GA 30606

(706) 621-7575

(706) 621-7557

Mailing Location

1061 Dowdy Rd, Ste 100, Athens, GA 30606-5700

(706) 621-7575

(706) 621-7557

Provider Taxonomies

Code	Description	License
Code 207R00000X Primary	Description Internal Medicine Allopathic & Osteopathic Physicians	License 076926 Georgia

Malini Kancharla Reddy

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Salazar Castillo, Juan G

Townsend, David L

Crites, Gerald E

Zakaria, Tariq Wael

Carter, Chelsey Davis

Hart, Zachary P

Shah, Nirvi

Bullecer, May Luz Falcon

Agyeman, Walter Yaw

Amakye, Dominic Ofosu